Medical Emergencies Week 2 Review Chpt. 3 - 4

Front 1

From the following list, identify the four reasons for gingival bleeding during toothbrushing.

a. Poor plaque control
b. Periodontal therapy
c. Orthodontic treatment
d. Daily use of aspirin therapy
e. Trauma
f. Blood dyscrasia
g. Fluoride therapy
h. Root caries

Back 1

a. Poor plaque control
d. Daily use of aspirin therapy
e. Trauma
AND
f. Blood dyscrasia

Front 2

Xerostomia is a common finding associated with the aging process. This condition often results in an increase in caries.

a. Both statements are true.
b. Both statements are false.
c. The first statement is true, and the second statement is false.
d. The first statement is false, and the second statement is true.

Back 2

d. The first statement is false, and the second statement is true.

Front 3

A client presents with exposed root surfaces in the maxillary right posterior sextant. This finding most likely represents:

a. a past history of periodontal surgery.
b. evidence of dental decay.
c. a need for oral health education.
d. fear of dental treatment.

Back 3

a. a past history of periodontal surgery.

Front 4

It is safe to use a rubber cup and polishing agent in areas that are decalcified because plaque removal will promote remineralization of the enamel.

a. Both the statement and reason are correct and related.
b. Both the statement and reason are correct, but NOT related.
c. The statement is correct, but the reason is NOT.
d. The statement is NOT correct, but the reason is correct.
e. NEITHER the statement NOR the reason is correct.

Back 4

e. NEITHER the statement NOR the reason is correct.

Front 5

From the following list, identify the clinical findings associated with orthodontia.

a. Enamel demineralization
b. Tooth sensitivity
c. TMJ dysfunction
d. External root resorption
e. Root caries
f. Bruxism
g. Gingival recession
h. Xerostomia

Back 5

a. Enamel demineralization
b. Tooth sensitivity
c. TMJ dysfunction
d. External root resorption
e. Root caries
f. Bruxism
AND
g. Gingival recession

Front 6

The most common emergency in the dental office is:

a. airway blockage.
b. hypertension.
c. hyperventilation.
d. syncope.

Back 6

d. syncope.

Front 7

All of the following techniques may be used to reduce stress during oral health treatment EXCEPT one. Which one is the EXCEPTION?

a. Distraction
b. Antianxiety medication
c. Postpone the procedure
d. Conscious analgesia

Back 7

c. Postpone the procedure

Front 8

Should a client experience syncope:

a. place in an upright position with the head between his/her knees.
b. lower the chair back and place the client in a supine position.
c. place the client in the Trendelenburg position.
d. raise the chair so the client's head is higher than the heart.

Back 8

b. lower the chair back and place the client in a supine position.

Front 9

Facial pallor, nausea, and disorientation are signs of which type of syncope?

a. Pre-syncope
b. Syncope
c. Syncope just before loss of consciousness
d. Post-syncope

Back 9

d. Post-syncope

Front 10

The client most likely to experience hyperventilation during an oral health appointment is the:

a. child.
b. teenager or young adult.
c. mature adult.
d. older adult.

Back 10

b. teenager or young adult.

Front 11

A prominent masseter muscle usually indicates:

a. bruxism.
b. ear infection.
c. neoplasia.
d. previous orthodontia.

Back 11

a. bruxism.

Front 12

What is the term that refers to the client's reason for his/her dental or dental hygiene visit?

a. Dental problem
b. Chief complaint
c. Unsatisfied need
d. Motivational

Back 12

b. Chief complaint

Front 13

If a client indicates that he/she has experienced a change in general health within the past year, the clinician should:

a. ask follow-up questions regarding the health change.
b. determine how the client's condition affects oral health care.
c. determine whether a medical consult is warranted.
d. all of the above.

Back 13

d. all of the above.

Front 14

What interval of time is used on the ADA Health History Form for evaluating serious medical conditions?

a. 3 years
b. 5 years
c. 7 years
d. 10 years

Back 14

b. 5 years

Front 15

When is it appropriate to treat clients with a recent history of myocardial infarction?

a. 4 weeks
b. 6 weeks
c. 2 months
d. 6 months

Back 15

a. 4 weeks

Front 16

Drug side effects associated with a risk for medical emergencies include all of the following EXCEPT one. Which is the EXCEPTION?

a. Postural hypotension
b. Bleeding
c. Vomiting
d. Gingival hyperplasia

Back 16

d. Gingival hyperplasia

Front 17

Postural hypotension is associated with the use of which supplement?

a. Niacin
b. St. John's wort
c. Ginseng
d. Ephedrine

Back 17

a. Niacin

Front 18

Tachycardia is an adverse effect associated with the use of which supplement?

a. Niacin
b. St. John's wort
c. Goldenseal
d. Ephedrine

Back 18

c. Goldenseal
AND
d. Ephedrine

Front 19

Examples of causes of postural hypotension include all of the following EXCEPT one. Which one is the EXCEPTION?

a. Running in place
b. Standing for a long period of time
c. Pregnancy
d. Varicose veins

Back 19

a. Running in place

Front 20

Signs of impending postural hypotension include:

a. a decline in blood pressure.
b. a decline in respirations.
c. loss of consciousness.
d. an increase in blood pressure.

Back 20

a. a decline in blood pressure.

Front 21

When a client is placed in a supine position, blood flow to the brain is increased by baroreceptors in the nervous system. The client will experience a subsequent decrease in blood pressure when returned to an upright position.

a. Both statements are true.
b. Both statements are false.
c. The first statement is false, and the second statement is true.
d. The first statement is false, and the second statement is true.

Back 21

c. The first statement is false, and the second statement is true.
(OR D due to publisher's typing error)

Front 22

The most common drug causing platelet inhibition is:

a. aspirin,
b. acetaminophen.
c. atenolol.
d. atorvastatin.

Back 22

a. aspirin,

Front 23

In cases of increased bleeding during treatment, the first treatment the clinician should try is:

a. observing the client until the bleeding stops.
b. applying clot-forming medication to the sites.
c. applying digital pressure.
d. activating the emergency response system.

Back 23

c. applying digital pressure.

Front 24

If a client presents with symptoms of reflux and nausea, treatment is best completed in a prone position because the chance of reflux is decreased and the client will be more comfortable.

a. Both the statement and reason are correct and related.
b. Both the statement and reason are correct, but NOT related.
c. The statement is correct, but the reason is NOT.
d. The statement is NOT correct, but the reason is correct.
e. NEITHER the statement NOR the reason is correct.

Back 24

d. The statement is NOT correct, but the reason is correct.

Front 25

Leukopenia and neutropenia may cause:

a. increased infection and reduced healing.
b. increased infection and bleeding.
c. bleeding and reduced healing.
d. increased plaque formation and reduced healing.

Back 25

. increased infection and reduced healing.